ectopic tooth

  • 文章类型: Journal Article
    异位牙齿是一种萌出障碍,其中牙齿位于解剖结构中,生理上,他们不应该发生。异位牙齿是一种非常罕见的现象,影响了大约0.5%的犬类人口,在可用的文献中可以找到关于狗的这种牙齿的治疗的描述。本文介绍了九只狗在拔除异位牙齿后的诊断和治疗方法。这些病例被细分为简单的(当异位牙齿被包裹在周围的结缔组织中时,没有溶解牙齿周围的骨头)和复杂的(其中,除了异位牙的存在,形成了牙质囊肿)。更详细地描述了四例复杂的异位牙齿。在这项研究中,不仅要特别注意拔牙技术本身,而且要特别注意使用羟基磷灰石curdlan聚合物在拔牙后固定和愈合大型骨缺损的方法。由于骨替代制剂的塑性特性,可以在不扩大拔牙期间产生的骨缺损的情况下植入材料。对照X光片显示骨再生的特征,早期和晚期的临床检查均未发现术后并发症。
    Ectopic teeth are an eruption disorder in which teeth are located in anatomical structures where, physiologically, they should not occur. An ectopic tooth is a very rare phenomenon, affecting approximately 0.5% of the canine population, and few descriptions of the treatment of such teeth in dogs can be found in the available literature. This article describes the diagnostic and therapeutic handling of cavities following extraction of ectopic teeth in nine dogs. The cases are subdivided into uncomplicated (when the ectopic tooth was encapsulated in the surrounding connective tissue, without lysis of the bone around the tooth) and complicated (in which, in addition to the presence of the ectopic tooth, a dentigerous cyst had formed). Four cases of complicated ectopic teeth are described in more detail. In this study, special attention was paid not only to the technique of tooth extraction itself but also to the method of securing and healing large bone defects after the extraction using hydroxyapatite curdlan polymer. Owing to the plastic properties of the bone substitute preparation, it was possible to implant the material without enlarging the bone defect created during the tooth extraction. Control radiographs showed features of bone regeneration, and clinical examination at both the early and late stages revealed no postoperative complications.
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  • 文章类型: Case Reports
    异位牙,生长在上颌窦等异常部位,是罕见的事件,原因不确定,包括创伤,感染,和发育异常。它们经常出现在生命的第二个或第三个十年,有时没有症状。它们经常被遗漏,因为症状可以模仿慢性鼻窦炎,但可能包括鼻窦问题,如阻塞和面部疼痛。已经报道了从复发到潜在失明或癌的并发症。诊断涉及射线照相成像,CT扫描提供精确定位。准确诊断后,治疗通常包括手术切除,随着内窥镜手术越来越受欢迎,由于风险降低。无症状病例的随访可通过定期X光片进行。我们报告了一例上颌异位牙,这是无症状的患者因头部创伤而出现在急诊科的偶然发现。
    Ectopic teeth, growing in abnormal locations like the maxillary sinus, are rare occurrences, with uncertain causes including trauma, infection, and developmental abnormalities. They often appear in the second or third decade of life, sometimes without symptoms. They are often missed as symptoms can mimic chronic sinusitis but may include sinonasal issues like obstruction and facial pain. Complications ranging from recurrence to potential blindness or carcinoma have been reported. Diagnosis involves radiographic imaging, with CT scans providing precise localization. Following accurate diagnosis, treatment typically involves surgical removal, with endoscopic procedures gaining popularity due to reduced risks. Follow-up for asymptomatic cases can be conducted through periodic radiographs. We report a case of maxillary ectopic tooth as an incidental finding in an asymptomatic patient presenting to the emergency department with head trauma.
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  • 文章类型: Case Reports
    去除翼状腋窝交界处的异位磨牙可能具有挑战性。本文介绍了鼻旁窦的三维(3D)打印的使用,以减少风险并使外科手术更有效的方式进行精心计划。一位26岁的绅士出现在耳鼻喉科,他的左前鼻孔息肉和翼状腋窝交界处的偶然异位牙齿。上颌骨腔的术前三维重建和随后的3D打印用于指导手术,并就潜在的结果向患者提供咨询。随后进行了左前功能性内窥镜鼻窦手术,后鼻窦息肉被完全切除。术前计算机断层扫描扫描允许将打印模型生产为异位磨牙的确切大小和尺寸,以促进手术计划并帮助患者同意治疗。
    The removal of an ectopic molar tooth at the pterygomaxillary junction may be challenging. This paper presents the use of three-dimensional (3D) printing of the paranasal sinus for careful planning in a way that reduces the risk and makes surgical procedures more effective. A 26-year-old gentleman presented to the ENT department with a left antrochoanal polyp and an incidental ectopic tooth at the pterygomaxillary junction. Pre-operative 3D reconstruction of the maxillary cavity and subsequent 3D printing were used to guide the surgery and counsel the patient on potential outcomes. Left anterior functional endoscopic sinus surgery was subsequently done, and the antrochoanal polyp was completely removed. The preoperative computed tomography scan allowed for the production of the printed model to the exact size and dimensions of the ectopic molar tooth to facilitate the planning of the surgery and to aid in consenting the patient for the treatment.
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  • 文章类型: Case Reports
    异位牙齿由发育异常引起,病理状况或医源性因素。它们可以是多余的,落叶或永久性的,并导致牙齿和面部疼痛,肿胀和感染。有限的案例揭示了关于原因的有限知识,症状,治疗方案和外科手术。彻底的评估,包括影像学检查和临床检查,艾滋病诊断和治疗计划。
    一名54岁的女性患者抱怨右上后牙区域的牙齿活动度达一个月,右耳前区域偶尔疼痛。
    慢性广泛性牙周炎,右髁区牙齿受累。
    拔除III级移动17并保守治疗髁突区异位磨牙。
    患者正在定期随访,没有类似的投诉。
    个性化方法对于管理异位下颌第三磨牙至关重要,应考虑患者的症状,偏好和潜在的并发症。成功的治疗需要明智的决策和全面的评估。
    UNASSIGNED: Ectopic teeth arise from developmental abnormalities, pathological conditions or iatrogenic factors. They can be supernumerary, deciduous or permanent and cause dental and facial pain, swelling and infection. Limited cases reveal limited knowledge about causes, symptoms, treatment options and surgical procedures. A thorough evaluation, including radiographic imaging and clinical examination, aids diagnosis and treatment planning.
    UNASSIGNED: A 54-year-old female patient complains of tooth mobility in the upper right back tooth region for one month and occasional pain in the right pre-auricular region.
    UNASSIGNED: Chronic generalised periodontitis with an impacted tooth in the right condylar region.
    UNASSIGNED: Extraction of Grade III mobile 17 and conservative treatment for ectopic molar in the condylar region.
    UNASSIGNED: The patient is on regular follow-up with no similar complaints.
    UNASSIGNED: A personalised approach is crucial in managing ectopic mandibular third molars and should take into account the patient\'s symptoms, preferences and potential complications. Successful treatment requires informed decision-making and thorough evaluation.
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  • 文章类型: Case Reports
    鼻窦异位牙的存在是一种罕见的实体,通常是无症状的。在某些情况下,上颌窦内有异物,比如异位的牙齿,会导致慢性上颌窦炎。我们报告了一例慢性鼻窦炎的病例,原因是一名50岁女性的左上颌窦顶部有一颗异位牙齿,该女性抱怨左上颌区域面部疼痛和化脓性鼻腔分泌物。异位牙齿的治疗通常包括去除先前的牙齿,考虑到它的位置和可能的风险。在这种情况下,靠近轨道可能会导致更大的涉及眶下束并发症的风险。CT扫描评估通常需要识别确切位置,并且对于治疗计划很有用。上颌窦病理的传统手术方法是经口Caldwell-Luc方法或经鼻内窥镜手术。在这种情况下使用的方法是Caldwell-Luc方法。虽然更具侵入性,它允许可视化上颌窦和后外侧区域的上通道,同时允许操作和移除较大的物体。尽管上颌窦异位牙并不常见,重要的是临床医生要意识到这一点,并考虑这一实体提供早期适当的治疗.
    The presence of sinonasal ectopic teeth is a rare entity that is usually asymptomatic. In some cases, the presence of foreign bodies in the maxillary sinus, such as ectopic teeth, can lead to chronic maxillary sinusitis. We report a case of chronic sinusitis because of an ectopic tooth in the roof of the left maxillary sinus in a 50-year-old female who presented with complaints of facial pain in the left maxillary region and purulent nasal discharge. The treatment of ectopic teeth usually consists of the removal of the previous, taking into account its location and possible risks. In this case, the close proximity to the orbit could have led to a greater risk of complications involving the infraorbital bundle. CT scan evaluation is frequently required to identify the exact location and is useful for treatment planning. The traditional surgical approaches to maxillary sinus pathology are transoral Caldwell-Luc approaches or transnasal endoscopic surgery. The method used in this case was the Caldwell-Luc approach. Although more invasive, it allows visualization into the maxillary sinus and superior access for instrumentation of the posterolateral region while permitting manipulation and removal of larger objects. Despite maxillary sinus ectopic teeth being uncommon, it is important for clinicians to become aware and to consider this entity to provide early adequate treatment.
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  • 文章类型: Case Reports
    非牙齿区域的异位牙并不常见。来自眼眶下缘受累牙齿的牙源性角化囊肿非常罕见。本文报道了一例22岁的女性,其牙源性角化囊肿是由眼眶下边界的左上颌第三磨牙受累引起的,引起慢性鼻窦炎症状。患者还患有重症肌无力,这混淆了诊断。囊肿与牙齿一起手术摘除,减轻了患者的症状。
    Ectopic tooth in nondentate areas is uncommon. Odontogenic keratocyst arising from impacted tooth in the inferior border of orbit is very rare. This article reports the case of a 22-year-old female with odontogenic keratocyst arising from an impacted left maxillary third molar in the inferior border of the orbit causing symptoms of chronic sinusitis. The patient also had myasthenia gravis which confounded the diagnosis. The cyst was surgically enucleated along with the tooth which relieved the symptoms of the patient.
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  • 文章类型: Journal Article
    上颌窦的异位牙是一种罕见的实体。这种情况的原因有很多,包括发育障碍,病理过程,医源性,在某些情况下,没有确定的原因。异位牙齿可能无症状或存在各种症状,具体取决于其位置。一名19岁的妇女在上第三颗磨牙的位置出现左侧面部疼痛和轻微肿胀三个月。她在这个区域做了手术,给出了面部中部创伤的病史,11年前。正位造影和计算机断层扫描证实了上颌窦内异位牙齿的诊断。通过Caldwell-Luc程序去除牙齿。在三个月的随访中,患者没有出现症状。报告异位牙齿的任何情况都应该能够了解这种情况的各个方面。我们报道了另一例位于左上颌窦的第三磨牙异位,最有可能的是,由于先前的面部中部创伤或该区域的手术。
    Ectopic tooth in maxillary sinus is a rare entity. There are many causes of this condition include developmental disturbance, pathological process, iatrogenic, and in some cases there is no identified cause. The ectopic tooth could be asymptomatic or presented with various symptoms depends on its location. A 19-years-old woman presented with left-sided facial pain and slight swelling at the site of the upper 3rd molar tooth for three months. She gave a history of mid-facial trauma with an operation in this area, 11 years ago. Orthopantography and computerized tomography confirm the diagnosis of ectopic tooth within the maxillary sinus. The tooth was removed by Caldwell-Luc procedure. The patient was remained free of the presenting symptoms at three months follow-up. Reporting any case of an ectopic tooth deserves the ability to know the various aspects of this condition. We reported a further case of ectopic 3rd molar tooth in the left maxillary sinus, most probably, due to previous mid-facial trauma or the surgery in this area.
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  • 文章类型: Case Reports
    Teeth in non-dentate areas including the intra-sinus and intranasal teeth are rarely encountered in clinical practice. Although the majority of patients remain asymptomatic, the usual presenting complaints are nasal obstruction, epistaxis, hyposmia and headache. In this article, we present a case of an intranasal tooth in a 15-year-old female who presented with complaints of hyposmia and nasal obstruction. Computed tomography (CT) of the paranasal sinuses and nasal cavity showed a tooth-like structure in the left inferior nasal cavity extending from the hard palate. The mainstay of treatment is the surgical removal of the ectopic tooth under anaesthesia. Even in asymptomatic patients, surgical removal of the nasal tooth is advised to prevent complications. Along with a clinician\'s understanding of the condition, imaging aids in the diagnosis of an ectopic tooth. Imaging, particularly with CT, also helps plan the surgical approach to treatment.
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  • 文章类型: Case Reports
    Ectopic teeth in the nasal cavity are a rare phenomenon. They are often associated with a variety of symptoms and future complications, ranging from nasal crusting and obstruction to chronic infections. In most reported cases, their removal is recommended. Here, we report a case of an ectopic intranasal tooth in a symptomatic adult. The tooth was removed endoscopically with good results.
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  • 文章类型: Journal Article
    背景:受累犬可能会给患者带来功能和美学问题,并可能影响邻近的门牙。该研究的目的是比较上颌和下颌受累犬的不同治疗方法及其结果。
    方法:作者纳入了102例患者,其中118名受阻生犬(82名上颌犬和36名下颌犬)。在临床和放射学检查中证实了受影响的犬。85名患者(83%)和97名受影响的犬科动物开始了治疗。作者分析了治疗类型和结果。计划拔除两个上颌犬和4个下颌犬。
    结果:正畸挤压术最常用于治疗上颌阻生尖牙(89%),而正畸挤压和经肺泡移植最常见的是下颌阻生犬(33%和37.5%,分别)。该治疗在96%的上颌骨和95%的下颌骨受累犬中成功。
    结论:上颌和下颌受累犬采用不同方法,但是他们的总体成功率很高。
    结论:成功的结果是通过精心计划和仔细执行的正畸和手术治疗来确定的。早期诊断对于促进犬自发性喷发和及时实施经肺泡移植至关重要。
    BACKGROUND: Impacted canines may pose a functional and an esthetic problem for patients and can affect neighboring incisors. The aim of the study was to compare different treatment methods and their outcomes for impacted maxillary and mandibular canines.
    METHODS: The authors included 102 patients with 118 impacted canines (82 maxillary and 36 mandibular canines). Impacted canine were confirmed during clinical and radiologic examinations. Eighty-five patients (83%) with 97 impacted canines started the treatment. The authors analyzed treatment types and outcomes. Two maxillary and 4 mandibular canines were scheduled for extraction.
    RESULTS: Orthodontic extrusion was used most frequently to treat impacted maxillary canines (89%), whereas orthodontic extrusion and transalveolar transplantation were performed most frequently in impacted mandibular canines (33% and 37.5%, respectively). The treatment was successful in 96% of the maxillary and 95% of the impacted mandibular canines.
    CONCLUSIONS: Different methods were used for impacted maxillary and mandibular canines, but their overall success rate was high.
    CONCLUSIONS: Successful outcome is determined via a well-planned and carefully executed orthodontic and surgical treatment. Early diagnosis is pivotal in facilitating spontaneous canine eruption and implementing transalveolar transplantation in a timely way.
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